1984/08/29 - SANITARY - SAN - Other - 11596 (3)

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INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6335 To be a complete and accurate soil test, your report must include: 1. Complete legal description, 2. -The use section must clearly indicate whether this is a residence or commercial project, 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; �6. Complete..the suitabikty'rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL. OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for -writing profile descriptions and completing the plot pian; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be usol'il desired; $. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9, Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current: address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION, ASERFREVIATIONS FOR CERTIFIED SOIL TESTERS Sail Separates and Textures sf Stone (over 10") cc) 1) Cobble (3 - 10") gr -- Gravel (under 3") 1 s Sand cs Coarse Sand used s -- Medium Sand Fs - Fine Sand Is Loarny Sand 'sl Sandy Loam "l _ Loam *sil - Silt Loarn s Silt cl Clay Loam scl - Sandy Clay Loam sicl - Silty Clay Loam se Sandy Clay sic Silty Clay c ..... Clay PI Peat rn - Muck Six general soil textures for liquid waste disposal TO THEOWNER: Other Symbols BR E3edr()ck SS - Sandstone LS - Limestone HGW - Nigh Groundwater Pere -- Percolation Rate .W - Well Bldg - Building %_ - Greater Than -- Bench Mark Less I han Bn Brown BI - Black Gy - Gray Y Yellow R Ri ec mot - Mottles' w% vusfh fff _ few, Fine, faint cc - common, coarse Ian Many, mediurv) d - distinc't P prominent NWL - High water level, surface water BM -- Bench Mark VRP V6rtical Reference Point i This soil test report is the first step in securing a sanitary permit, The county or the Department may request verification of this soil 'test in the field prior to permit- issuance, A complete set of plans for the private sewage system and a permit application must be subrnitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction.